Individual
DONALD A. INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
19590 E MAINSTREET STE 202, PARKER, CO 80138-7371
(720) 544-3801
Mailing address
18121 E HAMPDEN AVE UNIT C1079, AURORA, CO 80013-3590
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0026268
CO
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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